MOSAIC PSYCHOLOGICAL AND WELLNESS CENTER
NPI 1831506211
Psychologist in Saint Augustine, FL

NPI Status: Active since July 17, 2014

Contact Information

200 MALAGA ST
SUITE 1
SAINT AUGUSTINE, FL
ZIP 32084
Phone: (904) 806-3070

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  • Organization
  • Psychologist

About MOSAIC PSYCHOLOGICAL AND WELLNESS CENTER

This page provides the complete NPI Profile along with additional information for Mosaic Psychological And Wellness Center, a provider established in Saint Augustine, Florida operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1831506211 assigned on July 2014. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Darrin John Kirkendall Ph.d (Ceo)

NPI
1831506211
Provider Name
MOSAIC PSYCHOLOGICAL AND WELLNESS CENTER
Entity Type
Organization
Location Address
200 MALAGA ST SUITE 1 SAINT AUGUSTINE, FL 32084
Location Phone
(904) 806-3070
Mailing Address
1201 MACLAREN ST SAINT AUGUSTINE, FL 32092
Mailing Phone
(904) 806-3070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2014
Last Update Date
07-17-2014
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A psychologist like Mosaic Psychological And Wellness Center studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DARRIN JOHN KIRKENDALL PH.D

Authorized Official Title
CEO
Authorized Official Phone
(904) 806-3070

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831506211
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28611001222
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 0 + 0 + 1 + 2 + 2 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1831506211 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831506211, enumerated as an "organization" on July 17, 2014.

The provider is located at 200 MALAGA ST SUITE 1 SAINT AUGUSTINE, FL 32084 and the phone number is (904) 806-3070.

Psychologist with taxonomy code 103T00000X.